Participatory Gender Audit of Jampersal (Childbirth Insurance)
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Basic Project Information
Aksara worked with local health care volunteers and community members to monitor the implementation of a free maternal health care delivery services scheme, and empower women to access and provide feedback on services vital to their sexual and reproductive rights.
- Organize women and mobilize social support to improve women’s autonomy and participation in monitoring of public services important to them
- Help women claim their sexual and reproductive rights in order to improve the quality of and access to maternal health services
Aksara facilitated a program to help women monitor the implementation of a new national government program to provide free universal child delivery services to all women. The program, Jaminan Persalinan (Jampersal), includes pre- and post-natal care as well as childbirth services. Aksara’s work included two components:
- A survey of community members about their awareness of Jampersal and the services it includes, and about their current childbirth practices;
- An advocacy campaign to help community members, particularly women, represent their interests directly with government officials and service providers.
Through the survey, as well as discussions with local volunteers and health care workers, Aksara found key information about what was included in the Jampersal program had failed to reach community members. Citizens also expressed concerns about access to and the quality of care, and lacked confidence in the existing complaints handling mechanism. Aksara used these findings as the basis for a small workshop with local level stakeholders and community members, before helping community members deliver the findings and associated policy recommendations directly to district-level officials involved in health care policy. Aksara then worked with women from the community to put the recommendations into a “community policy paper,” which the women delivered to district government officials. Though the project is completed, Aksara is planning new poverty alleviation initiatives involving similar participatory gender audits.
Use of Information Communication Technology
125 male respondents, 237 female respondents
Observation and reports from project participants
- Greater local government openness to the public
- Increased access to information for local health volunteers, and government interest in consultations with volunteers
- Increased local health volunteer autonomy and capacity to advocate for change